Extended double sleeve lobectomy combined with thoracic wall resection to treat a huge lung cancer

2021 ◽  
Keyword(s):  
Main Pulmonary Artery ◽  
Lower Lobe ◽  
Thoracic Wall ◽  
Solid Mass ◽  
Computed Tomography Scan ◽  
Left Main ◽  
Sleeve Lobectomy ◽  
Postoperative Course ◽  
Thoracic Wall Resection ◽  
Tomography Scan

A 58-year-old man came to our hospital with numbness of the left arm, fatigue, and fever. A huge solid mass with necrotic changes located in the left upper lobe was noted on the computed tomography scan. The tumor directly invaded the extrathoracic wall, the left main pulmonary artery, and the superior segment of the lower lobe. To avoid pneumonectomy, a combination of an extended double sleeve lobectomy and thoracic wall resection was performed. The postoperative course was uneventful. The patient has survived without any recurrence for 6 months postoperatively.

scholarly journals Urachal Sinus Presenting with Abscess Formation

ISRN Urology ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Jalal Eddine El Ammari ◽  
Youness Ahallal ◽  
Oussama El Yazami Adli ◽  
Mohammed Jamal El Fassi ◽  
My Hassan Farih
Keyword(s):  
Incidental Findings ◽  
Computed Tomography Scan ◽  
Broad Spectrum Antibiotic ◽  
Diagnostic Challenge ◽  
Rare Type ◽  
Complete Excision ◽  
Male Adult ◽  
Postoperative Course ◽  
Urachal Sinus ◽  
Tomography Scan

Urachal affections are rare. Their variable ways of presentation may represent a diagnostic challenge. Urachal sinuses are a rare type of these abnormalities. They are usually incidental findings and remain asymptomatic unless a complication (most commonly the infection) occurs. Infection of the urachal sinus would clinically present as purulent umbilical discharge, abdominal pain, and periumbilical mass. We report herein a case of infected urachal sinus in male adult. The diagnosis was suspected clinically and confirmed with ultrasonography and computed tomography scan. A preoperative cysto-fibroscopy showed normal aspect of the bladder and excluded sinus communication. An initial broad spectrum antibiotic therapy followed by complete excision of the sinus and fibrous tract without cuff of bladder has been therefore performed. The postoperative course was uneventful. No recurrence was observed after 18 months of followup. Histological examination did not reveal any sign of malignancy.

scholarly journals Spontaneous Postpartum Subacute Subdural Hematoma: A Case Report of Probable Compilation of Eclampsia

2016 ◽  
Vol 13 (2) ◽  
pp. 109-111
Author(s):  
Sachidanand Gautam ◽  
Shyam C Meena ◽  
Bhawana Gautam
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Computed Tomography Scan ◽  
Normal Delivery ◽  
Postoperative Course ◽  
Motor Aphasia ◽  
History Of ◽  
Tomography Scan

The author presents a patient who developed a subacute subdural hematoma approximately 2 weeks after normal delivery with history of postnatal convulsion and lateralizing neurological symptoms. On day 12, she started to feel a nonpostural and severe throbbing headache with motor aphasia and right hemiparesis power grade 4, she was referred to our department. Left subacute subdural hematoma was confirmed by a computed tomography scan. Physical examination revealed only mild right hemiparesis. Left burr hole trepanation was performed and this was followed by uneventful postoperative course, and it completely recovered after 4 weeks. Chronic subdural hematoma should be considered when postpartum patients who have history of ecclampsia with mild to severe, persistent, and non-postural headache.Nepal Journal of Neuroscience. Vol. 13, No. 2, 2016, Page: 109-111

Bolus ileus-an occasional cause of small bowel obstruction-case report

2017 ◽  
Vol 5 (12) ◽  
pp. 5447
Author(s):  
Jurij Janež
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Computed Tomography Scan ◽  
Food Bolus ◽  
Postoperative Course ◽  
Pathological Conditions ◽  
Tomography Scan

A food bolus can be an occasional cause of small bowel obstruction. Especially older and senile patients are at higher risk for developing a bolus ileus. Certain pathological conditions are associated with a higher risk for developing a bolus ileus, such as duodenal and small bowel diverticula. In this paper is presented a case of a 68-year-old female patient with food bolus, that caused a mehanical small bowel obstruction. The abdominal computed tomography scan before surgery did not show the precise cause of intestinal obstruction. During surgery we found a big grape in the distal ileum, which was removed through enterotomy. Further postoperative course was uneventful.

scholarly journals Endobronchial carcinoid tumor: Radiological findings of a clinical case

2018 ◽  
Vol 64 (1) ◽  
pp. 15-18 ◽  
Author(s):  
Rodolfo Mendes Queiroz ◽  
Danilo Brotto Ferreira de Santana ◽  
Rogério Nastri Filho ◽  
Gláucia Aparecida Magnani Landell ◽  
Paulo Roberto Félix ◽  
...  
Keyword(s):  
Carcinoid Tumor ◽  
Clinical Case ◽  
Immunohistochemical Study ◽  
Tumor Resection ◽  
Lower Lobe ◽  
Transbronchial Biopsy ◽  
Solid Mass ◽  
Left Main ◽  
Radiological Findings ◽  
Typical Carcinoid

Summary We describe the case of a female patient, 21 years old, complaining of dyspnea attacks and wheezing 2 years ago. Chest radiography showed volume loss in the left lower lobe and ipsilateral retrocardiac triangular basal opacity. CT scan showed an extensive solid mass with apex protruding into the left main and lower lobar bronchi, causing distal atelectasis. Histopathological and immunohistochemical study of transbronchial biopsy of the lesion revealed a typical carcinoid tumor, confirmed after tumor resection with total left pneumectomy.

Pulmonary Transplant Salvage Using Ultrasound-Assisted Thrombolysis of Subacute Occlusive Main Pulmonary Artery Embolus

2017 ◽  
Vol 12 (3) ◽  
pp. 214-216
Author(s):  
John R. Spratt ◽  
Prashant Shrestha ◽  
Gabriel Loor ◽  
Jagadish M. Patil ◽  
Marshall I. Hertz ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Main Pulmonary Artery ◽  
Lower Lobe ◽  
Left Main ◽  
Exertional Dyspnea ◽  
Bilateral Lung Transplantation ◽  
Catheter Directed Thrombolysis ◽  
Ultrasound Assisted ◽  
Bilateral Lung

A 53-year-old woman who underwent bilateral lung transplantation 14 months before presented with 2 to 3 weeks of severe exertional dyspnea. Workup revealed a complete embolic occlusion of her left main pulmonary artery related to a femoral deep venous thrombosis. The occlusion did not respond to systemic anticoagulation, and a trial of catheter-directed thrombolysis was pursued. Flow to the left lower lobe was restored after 2 days of thromobolytic therapy. The patient is alive and well at more than 1 year of follow-up.

Case 13.1

2014 ◽  
pp. 615-616
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Embolus ◽  
Main Pulmonary Artery ◽  
Lower Lobe ◽  
Left Lower Lobe ◽  
Shortness Of Breath ◽  
Left Main ◽  
Contrast Enhanced ◽  
Oblique Images

80-year-old man with a left lower lobe adenocarcinoma, for which he is receiving radiotherapy, presents with cough and shortness of breath; MRI was requested to evaluate for pulmonary embolus Coronal oblique images from 3D contrast-enhanced pulmonary MRA (Figure 13.1.1) reveal filling defects in the left main pulmonary artery and both lobar arteries....

Cough-induced nonunion rib fractures and herniation: surgical repair and review

2018 ◽  
Vol 26 (5) ◽  
pp. 416-418 ◽  
Author(s):  
Stefan E van Oostendorp ◽  
Rene Buijsman ◽  
Wietse P Zuidema
Keyword(s):  
Computed Tomography ◽  
Operating Room ◽  
Surgical Repair ◽  
Plate Osteosynthesis ◽  
Rib Fractures ◽  
Thoracic Wall ◽  
Computed Tomography Scan ◽  
Left Hemithorax ◽  
Tomography Scan ◽  
Lying Down

We present the case of a 57-year-old man who had suffered pain in the left hemithorax for a year, which started after a period of severe coughing during pneumonia. The pain was triggered by lying down. A computed tomography scan revealed two nonunion costal fractures. In the operating room, intercostal diastasis with pulmonary herniation was encountered in addition to the costal fractures. This report describes the technique used to reconstruct the thoracic wall with mesh and plate-osteosynthesis.

scholarly journals Salvage endovascular embolization of the left pulmonary artery for recurrent pseudoaneurysm

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yojiro Yutaka ◽  
Junichi Tasaki ◽  
Itsuki Yuasa ◽  
Kotaro Murakami ◽  
Hiroshi Date
Keyword(s):  
High Risk ◽  
Pulmonary Artery ◽  
Lung Resection ◽  
Main Pulmonary Artery ◽  
Lower Lobe ◽  
Endovascular Embolization ◽  
Endovascular Coiling ◽  
Sleeve Resection ◽  
Left Main ◽  
Jude Medical

Abstract Background Pulmonary pseudoaneurysm (PPA) is a potentially lethal complication of lung resection with a high risk of recurrence after endovascular coiling. Case presentation We report a case in which recurrent hemoptysis due to PPA after left lower lobe sleeve resection was treated by endovascular embolization of the left main pulmonary artery as a salvage treatment. The first hemoptysis was managed by endovascular coil embolization with extracorporeal membrane oxygenation, but refractory hemorrhage occurred 3 months later due to penetration of the endovascular coil into the bronchial anastomosis site. Because left completion pneumonectomy was considered too high risk, the left main pulmonary artery was palliatively embolized using an Amplatzer vascular plug (St. Jude Medical, MN, USA) to totally disrupt the left pulmonary arterial flow. Conclusions Total embolization of the left main pulmonary artery for repeated PPA rupture may be useful as a palliative treatment in patients unable to tolerate pneumonectomy.

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